Fragmented Records and MOGE Coding - Arizona's Sentinel Site Data Quality Efforts

Background:  Data quality, MOGE identification, and duplicate records are concerns for all IIS.  Arizona received ARRA funds for their Sentinel Site region which are being used to improve on data quality at the various provider site levels.  This presentation will explore the process we are using and hopefully provide lessons learned and data that other states can use.

Setting: Arizona's Immunization Information System (ASIIS), the Sentinel Site region (Apache, Coconino, Gila, La Paz, Mohave, Navajo, and Yavapai Counties) 

Population: provider sites in the Sentinel Site area, clients in the registry.

Project Description: Arizona's registry was developed in the late 1990's, with a mandate going into effect requiring immunizations administered to children to be reported to the registry in 1998. Data is accepted in many ways, including a web site with manual data entry capability that went live in 2002.  Providers reporting through paper and flat file formats do not generally use the web application, which includes the ability to inactivate clients.  We worked with these providers in the Sentinel Site area to identify possible inactive clients (MOGE) for clean up.  We also generated reports that identified potential duplicate records in the database.  We will explore the results of the various reports that were generated in this presentation.

Results/Lessons Learned: From our experience, we will review what we found were the best ways to approach provider sites for working MOGE clients.  We will also provide results from the various fragmented records reports that were generated, and give suggestions for other states so they can generate similar reports.